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tv   Washington Journal Samantha Artiga Discusses Health Care Disparities  CSPAN  August 15, 2017 9:02am-9:29am EDT

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the documentary on the national debt. honorable te won mention and prize of $250 for documentary on marijuana. thomas a. edison middle school, of students won prizes. on there was a documentary the national debt. students won for their terrorism. on and students also received mentions for their documentary on global warming. all the students who took part in the 2017 cam competition tochlt watch the videos go to studentcam.org. student cam 2018 starts in with constitution. why it is important.
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>> "washington journal" continues. samantha artiga joins us, director at kaiser family disparities policy project. explain what the project is, how t fits into the mission of the foundation. guest: sure. the kaiser family foundation is nonpartisan organization focused on providing timely data and issues on health care affecting the nation. within the foundation, the disparity policy prth is one area focused on providing basic increased understanding and awareness of disparities, providing analysis status of urrent disparities today and examining implications of current key policy issues for disparities advance health equity. host: disparity, what are the disparities our country is experiencing today? guest: no single definition of
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disparities. we're referring to are differences in both health and to th care that are tied social and economic disadvantages. and efforts to eliminate isparity and advance health equity provided to provide fair opportunity to be as healthy as possible. recognition of disparities began in the early landmark h a few reports and since then there have been overall improvement of ssary access and quality care, but disparities have persisted. in particular, we continue to large differences in both bylth and health care access race and ethnicity and disparities are commonly viewed this lens, it is also important to recognize they occur across all dimension, income, geographic location. host: research shows race, class
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and zip code play a large role in determining health. examples of that. guest: so, i think a lot of improving health in our nation has been focused on the health care system, but particularly as more people gain health coverage, you can'tgnizing that improve health by focusing on ealth care alone and need to recognize the importance of broader social and economic they influence people's opportunity to be healthy. things like your income, your thattion, the neighborhood you live in, your access to healthy food, the safety of your surroundings, your housing, your transportation options, those for the ications opportunities have you to be healthy. segment, special line, splitting phone lines up regionally. 202-748-8000 is the number to call.
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specific time zone, 202-748-8001. 9:30, 25 minutes, the house is expected to come in for pro forma session, we will go to that for gavel to to be overage, expected brief, stick ashed and the "washington journal" continue after that. in now for questions for samantha artiga, of the kaiser foundation. in terms of comparisons that you ee, what are numbers comparing a white person in america, in lderly white person america to the average african american hispanic person, where disparities in some issues you are talking about? guest: you can see disparities a broad range of measures and the work we've done and analysis there is data pack we available on our website that looks across broad range of access, utilization effort and health outcome
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measures. in particular, you see differences in health coverage in measures of health access, in terms of whether you have unusual source of care, whether ou are getting regular preventative care and screenings and things like health outcomes, of gs like prevalence chronic conditions like diabetes, hypertension, as well outcomes like h hiv/aids, diagnosis and infant mortality rates. host: becky up first this morning, clearwater, florida, ood morning, you are on with samantha artiga. caller: hi. how are you doing today? guest: hi, how are you? caller: i'm hanging in there. i've actually been, i think being right about it really socio-economic thing. i've been trying to get a while. for even a corporate job and tried to get long-term through was just a and it big waiting game. for have an application
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social security. did not qualify for obamacare and this is my fourth time for local insurance. i really kind of just waiting on in december, but it has been a 20-month wait. so it's not just -- i mean, it know, just, you minorities, i don't know if you onsider being low income to be minority. guest: no, i think the point you increasingly being recognized, although historically much focus on isparities has been on racial and ethnic disparity, there has been increasing recognition disparities across other dimensions, income being one of them. when you look at things like health coverage, health access, health outcomes by income, you see similar isparity with low and moderate
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income facing more challenges. host: in terms of access and kaiser, numbers from the family foundation, all things can be found on your website. hispanics to whites in america, hispanics likely to be diagnosed with hiv/aids and rate.r birth this chart showing uninsurance rate for hispanics in america, 2015, compared to whites at 8%. also noting medicaid and chip of coverage for hispanics, particularly for children. 25% of rt is showing uselderly adults, hispanics medicaid or chip, 53% are employer or ugh the other private insurers, 23% uninsured, compares to 9% uninsured for whites, 74% with employer, other private 16% using the medicaid and chip. ust some numbers in the data
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packets available on the kaiser family foundation's website. more numbers ugh as we have this discussion, want to continue to hear from viewers. nancy in new jersey in raleigh, new jersey. go ahead. caller: yes. would like to make this this segment connection with the previous segment talking about why hate are on the rise. john, you mentioned a lot of basing disparity on race, class and zip code. remember, the atlantic piece talking about red lining, has to do with where you live, the zip code and how isparities happen by where you live and that is why people want to keep that red lining, keep that the separated so disparities continue. okay. that is very important. that is why a lot of white people wanted to get rid of
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because they felt it helped more black people, okay. that's one thing and the next thing, i called in a few years obama was going o be elected, the ama apologized for 100 years of discrimination against black people. that is our generation, okay. treat patients differently, there will be different outcomes and that is is happening. people want these outcomes to stay. disparities to stay. that is why they want to get rid f obamacare, that is why they want to decrease medicaid, to help poor people, to help -- the code wordnow, is "poor," meaning black. samantha artiga, what do you want to pick up on there? uest: well, i think you are reiterating the point of the importance of recognizing broad
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ange of different factors that influence people's health and drive disparities and a lot of them are tied to social and factors that are within he communities in which we live. host: expand on her comments about affordable care act, how disparities the picture in this country? guest: sure. t is important to recognize affordable care act, significant advance nment reducing particular, in major health coverage expansion through both medicaid and the marketplaces, led to large overage among all groups, but particularly among groups of olor, who prior to a.c.a. had significantly higher uninsured rates compared to whites. since the e seen, a.c.a., those group his large gains in coverage, which helped a lot of coverage disparities, however, they ities still persist, still are more likely to be uninsured and again, just this
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coverage is though a key and essential component to improving alth and disparities, it is not enough, we have to take into account factors. host: access and outcomes comparing the black community in this ountry to whites in country. again, from kaiser family 11% of blacks a, in america told -- have been old by their doctors they have diabetes, that compares to 7% of america.n 11% of blacks report currently have being asthma compared to 9% whites, 38% of adults, african american adults who are compared his country to 28% of whites and then in insurance, cess to 12% of blacks in this country uninsured compared to 8% of whites in this country, from the 15, again charts from kaiser family foundation.
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west e, in milton, virginia, good morning. caller: yes, you just said that kaiser family foundation, i think you will find in our state that is going to be pretty well equal. a lot of people who are large and it has to do with socioeconomics. it's cheaper to buy banquet add to feel your family, bread, where they have the food stamps and food stamps don't everything. it is cheaper to be able to go other certain peep and he will buy the meals, are the s, that low-cost sandwiches and things, it is to cook a full healthy meal. people say, oh, $10 a day addinginner, they're not breakfast and lunch for children and people can't afford that. add that up to a grocery bill that is probably $200 a
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week. okay. so then we have the obesity, issues.auses the also we have smoking in our state is probably one of the smoke myself and i've tried to quit for years, overweight.t you know,m lady, but, it still has to do with socio economics. a lot of these things and the pioid epidemic, as we were saying before, it changes the people need s what to understand. it changes the pran and the can ines that are out mitigate that and stop that. but we also have to look at people have been put n jail, they have felonies, so how are they going to go back to work? host: thanks for that. what do you ga, want to pick up on? guest: we know from research,
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ne of the biggest drivers of health are individual about y exercise, diet, choices of whether to smoke, shaped by the environment in which people live in. she's making about you have access to healthy food, do you have a grocery store in your with fresh produce available or relying on onvenience that have more processed food and can you afford healthy food, are you different choices? all these factors influence the obstacles facing individuals. efforts nk one of the we're seeing to address disparities is called a health policies approach. this is thinking about how other ectors, like food and transportation policy can begin to take into account health implications or health implications of policies in those sectors. policies bout how related to food and how policies related to transportation can be
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a way that encourage health. on the flip side of that, years, larly in recent we've seen efforts on the healthcare side to think about integrate social and environmental factors into the healthcare side of the equation. visits to the healthcare system as an both assess o people's broader needs and connect them potentially to to address the needs. host: on the federal government's side, who is in some of dealing with disparities? is this health and human services? uest: within health and human services, office of minority health and affordable care act advanced the federal prioritization of health disparities by creating offices of minority health that work within the health t departments in and human services to coordinate efforts y push forward to reduce disparities and in
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hhs released its first federal action plan to reduce disparities. how much priority has this been under the trump administration under secretary price? guest: so i think what we think about in the current situation recent efforts really to reduce health changes that were proposed to medicaid could negative effects on the recent progress we've had in disparities and in particular going to this point key coverage is really a first piece to helping to address some issues because it people to the healthcare system and we know is research that coverage tied to improved access and utilization and contributes to improved health over the longer term. i think any efforts that would reductions in coverage and particularly scale-back of
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he medicaid program, as you pointed to the statistics we have showing the particularly important role of that program groups of color in low income population that those could move reduce disparities in the wrong direction. ost: uninsurance rates for the black community in this country 2015, 12% for hispanic communities in this country. 2013, 17% in 2015. white necessary america, 12% in 2013, 8% in 2015. numbers for you, all available at the kaiser family foundation website. kff.org. if you want to join the discussion, we'll be talking 10 t the issue for the next minutes before the house comes in for a brief pro forma system. up regionally. eastern time zone, 202-748-8000. mountain or the pacific time zone, 202-748-8001.
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ahuska, oklahoma, good morning. caller: good morning. ahead, barbara, you're on with samantha artiga. caller: yes, i am really sick tired of disparities, disparities, disparities. originally.ifornia i grew up, i guess i was i sidered very poor since grew up in a migrant camp or what they called migrant camps now. it wasn't then. we called it a government camp. poor. very i never asked anything from anybody. for m and dad never asked anything from anybody. we took care of ourselves. mexicans in california that work in the fields, everybody poor mexicans, poor mexicans, poor blacks. o you know the mexicans are making $17 an hour out there in damnfield. i never made $17 an hour. i am retired.
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pay for everything myself. i don't ask anybody for anything all these blacks and mexicans do is ask, i want more, want more., i well, hell, get out and get a job. host: samantha artiga, what would you say to barbara? guest: i think when we talk disparities, it is important to recognize they not the groups, but the broader nation overall. they limit overall improvements health and access to quality unnecessary health care cost, associated with the disparities, as well as indirect cost related to lost roductivity at work and premature death. disparity system an issue that us regardless of background. host: corey, florida, good morning. hi, how are y'all today? i just wanted to touch base on a
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things, like the health care. i it there, i work at a job, make around $9 an hour. and barely have enough money after paychecks after we sit make $600 paycheck and $400 its back down to something. and we don't sit there and have as it for the health care s and it's crazy that the government wants to keep on pping prices on everything and the department sees that is what at, differentooked abilities to sit there and people out here with different medicine than can find 'm sure they a better resource than narcotics
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the -- pretty much legalized drugs.sit there and sell guest: so i think the affordable are act really was designed to address some challenges that this caller is speaking about. of the arly in terms affordability of health care and health care coverage. he medicaid coverage expansion and the market places were designed to provide more ffordable coverage options to low and moderate income individuals. we've seen since implemented, of coverage and many have improved access to health result of health as a that coverage since then. certainly there remain hallenges with that and affordability challenges. but we've seen great strides forward in coverage. work have you done in the area of the opioid the disparities of treatment and access when it that crisis? guest: i personally have not done a lot of work in that area,
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we have resources available for people more interested or interested in more information topic. host: ff.org, the house is in just a come in minute, we'll go there when they do. daniel in morning. caller: good morning. i want to make the comment about having some kind of halo, although i appreciate that many doctors, specially those who maintain membership with lawsuit of use organizations, that deserve to be sued. and which would cost of medicine high, it's almost impossible to trust that you're a doctor's advice that is worthy and that you can trust. i had my left knee replaced four times, the entire knee replaced times because of mistakes, as they call them now, they
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negligence t anymore, they have the bully mistake to call it a and everybody has this, the doctors know what they are is halo bout, there over the doctor's opinion and cake.ody else can eat uest: i don't have comments related to malpractice, but i we to make comments about spoke earlier about social and environmental factors influencing health. he health care system and providers also are important factors in influencing health disparities, in particular, i think there have the efforts to increase provider work force and also ncrease training in terms of linguistic and cultural competency among providers and key efforts will also be for adjusting disparity over the longer term. host: i know you have done work access for immigrants and health care available for
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both legal and undocumented. some of the through major stats there, what immigrants have access to, the face?enges they guest: sure. so the affordable care act options for erage lawfully present immigrants. restrictions apply to lawfully present immigrants were in place t prior to a.c.a. and remain after the a.c.a. restrictions?d of guest: many are subject to five-year waiting period before enroll in medicaid, even if they are eligible, so that results in delay in their access that coverage. there are actually some groups of lawfully present immigrants ineligible for medicaid even though they have lawful status in the country. immigrants are able to enroll in the market place during the aiting period, they are not eligible for medicaid. in terms of undocumented
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a.c.a., s, prior to they have not been eligible for ublic coverage option, not eligible for medicaid or chip, not eligible for the or etplaces, either subsidy to purchase without the subsidy, can't purchase through those. limited really coverage options available to them. nd what we see as a result of this is that people who are noncitizens are much more likely uninsured relative to citizens and in particular immigrants. it is not only eligibility for to rage, but also barriers enrolling in coverage, so even among lawfully present eligible for coverage, they face a host of barriers to enrollment, confusion about their eligibility, because rules are more complicated for them. fears about enrolling coverage, about whether it would status, y impact their about whether it may put
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undocumented family members at risk. other barriers like language and literacy challenges, so they face a lot enrolling in o coverage. and what we've seen is that the ground, , on one-on-one enrollment assistance helping overcome some barriers. host: enrollment assistance lead who? communities, federal government? guest: many are community-based rganizations and really assistance is most effective within is provided from individuals that are trusted in the community. host: time for maybe one or two house lls before the comes in. jerry, pennsylvania, go ahead. what do you know of hole?-called donut 48 to $600? an expert on the donut hole, but we have plenty f resources available on our website that will be able to get you information on that.
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ost: donna in columbus, ohio, go ahead. caller: yeah, i'm sure there are minorities, among but the problem is people that minorities think that, you know, they are being overlooked and really part of the problem, we don't have to pay for these things because technology is really the people getting jobs. ost: donna, give you a chance to respond. samantha artiga, go ahead. focus on racial and ethnic disparities today, i want that we ate the point know disparities occur across ther dimensions and affect all of us, given they limit overall improvements in health and unnecessary cost. host:

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